Pinana M, Rodriguez-Perron I, Lescaille G, Toledo R, Mondoloni M, Rochefort J
Department of Odontology, Groupe Hospitalier Pitié-Salpêtrière, Assistance Publique Hôpitaux de Paris, University of Paris, Paris, France.
Oral Dis. 2025 Feb;31(2):648-655. doi: 10.1111/odi.15137. Epub 2024 Oct 7.
Oral haemorrhages (OH) represent a relatively rare reason for an emergency consultation, among dental pain, infectious processes and traumas. Various haemorrhagic risk factors are described, particularly those related to a general medical context or local factors. It is common to associate OH with haemorrhagic risk patients. Current studies mainly focus on patients considered at risk, but there is limited data on the characteristics of OH in patients without known haemorrhagic risk.
We conducted a 2-year retrospective study in a dental emergency department to identify OH occurring in patients without known haemorrhagic risk and to study their characteristics.
OH accounted for approximately 2% of the reasons for consultation among all consultations carried out for dental emergencies. Their frequency was similar in the population of patients without hemorrhagic risk and those with a confirmed risk. They mainly occurred in young patients, without medical history. They also led to the diagnosis of an underlying pathology in about 1% of cases.
This study underscores the importance of accurately documenting patients' medical history during preoperative consultations, as well as identifying associated risk factors. It also highlights that OH can be an early sign of a systemic disorder.
在因牙痛、感染性疾病和外伤而进行的急诊会诊中，口腔出血（OH）是相对少见的原因。已描述了各种出血风险因素，特别是那些与一般医疗背景或局部因素相关的因素。将口腔出血与出血风险患者联系起来很常见。当前的研究主要集中在被认为有风险的患者身上，但关于无已知出血风险患者的口腔出血特征的数据有限。
我们在一家牙科急诊科进行了一项为期2年的回顾性研究，以确定在无已知出血风险的患者中发生的口腔出血情况，并研究其特征。
在所有牙科急诊会诊原因中，口腔出血约占2%。在无出血风险的患者群体和有确诊风险的患者群体中，其发生频率相似。口腔出血主要发生在无病史的年轻患者中。在约1%的病例中，口腔出血还导致了潜在疾病的诊断。
本研究强调了在术前会诊时准确记录患者病史以及识别相关风险因素的重要性。它还突出表明口腔出血可能是全身性疾病的早期迹象。
